Active NPI
Andreana Megan Johnson, MD
- Obstetrics & Gynecology Physician
- Boaz, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- TRN11180
- Practice address
- 2525 US Highway 431
Suite 200
Boaz, AL 35957-5934 - Phone
- (256) 840-3396
- Fax
- (256) 840-3394
- NPI assigned
- Sep 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | TRN11180 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD31039 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME106466 | FL |
Addresses
Primary practice location
2525 US Highway 431
Suite 200
Boaz, AL 35957-5934
Mailing address
2525 US Highway 431
Suite 200
Boaz, AL 35957-5934
Phone (256) 840-3396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Alabama School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310
2525 US Hwy 431
Suite 200
Boaz, AL 35957-5967
Phone (256) 840-4551
Hospital & facility affiliations
- Marshall Medical Centers
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD31039 | AL | MD | Obstetrics & Gynecology Physician |
| ME106466 | FL | MD | Obstetrics & Gynecology Physician |
| TRN11180 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center South | Obstetrics & Gynecology | Current | Accepting new patients |
| Marshall Medical Center North | Obstetrics & Gynecology | Past | Accepting new patients |
| HH Health System - Marshall LLC | Past | Accepting new patients |
Locations
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
2505 US Highway 431
Ste B
Boaz, AL 35957
Phone (256) 840-3396
2525 US Highway 431
Ste 200
Boaz, AL 35957
Phone (256) 593-2221
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/marshso-0747d29f
- andreanajohnson@mcobg.allscriptsdirect.net
- https://api.platform.athenahealth.com/1994/brand/1/csg/1/fhir/r4
- https://fhir-usa.unify.chbase.com/org/marshso-ac1b915e
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Boaz, AL
- NPI 1639321789
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
-
- Obstetrics & Gynecology Physician
- Guntersville, AL
- NPI 1023267929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313625600000",
"number": "1508014457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 US HIGHWAY 431",
"address_2": "SUITE 200",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575934",
"telephone_number": "256-840-3396",
"fax_number": "256-840-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 US HIGHWAY 431",
"address_2": "SUITE 200",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575934",
"telephone_number": "256-840-3396",
"fax_number": "256-840-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANDREANA",
"middle_name": "MEGAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2011-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "TRN11180",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "MD31039",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME106466",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.